Individual
ANYA PENNYCOOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
3225 N HIATUS RD, #450631, SUNRISE, FL 33345-0631
(954) 372-2040
Mailing address
PO BOX 450631, SUNRISE, FL 33345-0631
(954) 372-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025028083
FL
Other
Enumeration date
07/04/2025
Last updated
07/28/2025
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